Preoperative Inflammatory Markers as a Predictor of Three-Year Overall Survival in Older Cancer Patients Undergoing Oncologic Surgery.

cancer inflammatory response older patients preoperative inflammatory markers survival

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
11 Apr 2021
Historique:
received: 22 02 2021
revised: 03 04 2021
accepted: 08 04 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

Oncologic surgery results in substantially higher morbidity and mortality rates in older patients compared to younger patients, yet little is known about the relation between the preoperative inflammatory state and postoperative outcome in the specific group of older cancer patients. The aim of this study was to examine whether preoperative inflammatory markers could be a predictor of overall survival in older patients undergoing elective surgery for a solid malignant tumor. Patients 65 years and older undergoing surgery for a solid malignant tumor were included in a prospective cohort study. Inflammatory markers C-reactive protein (CRP), interleukin-1 beta (IL-1β), IL-6, IL10, IL-12 and tumor necrosis factor-alpha (TNF-α) were measured in plasma samples preoperatively. The main outcome was overall survival three years after surgery. Between 2010 and 2016, 328 patients with a median age of 71.5 years (range 65-89) were included. A significantly higher mortality rate three years after surgery, was found in patients with high preoperative plasma levels of CRP and IL-6 (

Identifiants

pubmed: 33920422
pii: cancers13081824
doi: 10.3390/cancers13081824
pmc: PMC8069748
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Baukje Brattinga (B)

Department of Surgery, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Abraham Rutgers (A)

Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Jacco J De Haan (JJ)

Department of Medical Oncology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Anthony R Absalom (AR)

Department of Anesthesiology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Hanneke van der Wal-Huisman (H)

Department of Surgery, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Geertruida H de Bock (GH)

Department of Epidemiology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Barbara L van Leeuwen (BL)

Department of Surgery, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.

Classifications MeSH